Serious MRI discomfort: is it normal or could they do better?
I had an MRI today. I've had 2 before, and none were as uncomfortable and painful as this one.
The entire time, the frame was digging, digging powerfully, not just nudging or pressing, into my breastbone and at the base of my rib cage. When I first felt this, I asked for help because I surely couldn't stay still for 1+ hour with that pain. They put a small pillow below me. Didn't make much difference but they said oh well.
in the MRI, they didn't respond to me when I said (for example) that the headphones weren't on right, so I could barely hear instructions or music. Is that normal? because I couldn't even ask for help with the pain.
Anyway, the pain got worse and worse, the digging into my ribs, and I held it in. When I eventually emerged, I felt like I'd been beaten.
hours later, I'm still recovering.
Is this normal?
Comments
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I thought the MRI was much worse than any of the rest including the lumpectomy. At least I got knocked out for that. If I ever have to have another breast MRI, I will insist on enough time to find the most tolerable position, plus the super-strong pills prescribed for major dental procedures.
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I hate particularly the breast MRI. It's the only time I take a Xanax - otherwise I could not deal with the uncomfortable positions. See if your doc will proscribe some for that purpose. Oh - and I did use them for the PET/CT since you have to lie completely still for 45 minutes before they start the scans. Not something I could do w/o drugs.
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I asked them if they knock patients out for them and the tech said no. I had to do absolutely nothing but be still. Why not just give me the drugs??
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but the frame positioned directly digging into my rib cage -- does that sound familiar to you all? And do you think it was just people not trying hard enough?
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Hi Bluefootbooby
That frame is horrible. I bring my own pieces of memory foam to put on it otherwise I couldn’t stand the pain in my rib cage and back.
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They always make my back hurt.
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I didn't have too much pain from the frame but during my MRI-guided biopsy I had my left arm bent in such a way that holding it in that position for an hour made my pinky and ring fingers go numb, along with part of my palm. I thought about squeezing the panic button but assumed the feeling would come back once it was done and I could shake it out; I was right, but it took longer than I thought and the radiologist wasn't thrilled because she thought my fingers looked blue. Lesson learned for next time. It didn't happen during the previous MRI but the biopsy is 3x longer so I'm guessing either I put myself in a bad position the second time or it just wasn't sustainable for an hour vs. 20 minutes.
Your MRI team doesn't sound so warm and fuzzy, though. The techs frequently checked in with me via the headphones and reassured me from the start that even if I felt alone in the room, they could see me at all times and were always monitoring how I was. The MRI procedure isn't fun by the basic nature of the thing and there's not much to be done about that except grin and bear it, IMO, but the people involved can definitely make a difference.
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NONE of my techs checked in to reassure. Occasionally they nagged me to be still, and occasionally they said I was doing great, and they regularly updated me on how long the next would be etc. But no one said they were monitoring and I got the sense from their non response that they didnt want to hear from me. I felt traumatized, tbh. I'm a person with many ailments and I self censor to hide them and I feel so bad about this.
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I found out I was claustrophobic with my first attempt at a breast MRI after a panic attack. I had to reschedule when they could sedate me. When I needed a brain MRI (not cancer related) I told the tech that I needed Versed first, but he insisted I get on the table. I did and he left the room. By the time he came back my blood pressure had shot up and I got up and told them I was refusing the test. Ended up with a CT instead. Years later when I needed a breast MRI after diagnosis, I went to a different facility in a larger city and they actually put in an IV and I have no memory of it. It was wonderful and they also treated me with respect instead of a bother. My most recent MRI was at the small, local hospital and they said I could take an Ativan if I had it, but would not provide sedation. I did take one and managed to make it through. I hope I never have to do another one.
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I just wanted to add that I am sorry this happened to you blue foot and that I know how horrible it is to be disrespected by a tech who doesn’t care. Most of mine have been wonderful so when I got a bad one, I refused the test.
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Your experience sounds identical to mine, bluefootbooby. I have GERD and simply could not breathe in that position. I told the tech we either had to reliieve that pressure on my diaphragm or stop the test.
She brought out a small pillow. Nope, not gonna do it. I pointed to the large wedge they normally put under your knees when you're on your back and said let's try that one". She rolled her eyes before handing it to me. I shoved it under my hips. It worked like a charm. No more discomfort. Don't know why they don't just do that to begin with.
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Bluefootbooby, I wonder if the particular machine makes a difference? Was your recent experience at a different place than the others? I tolerated two breast MRIs pretty well, but my third one, different facility/machine, was much more uncomfortable. I don't know if it was constructed differently, or if it was just that I was older and battered by cancer treatment at that point.
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thank you, friends.
I have never had this kind of discomfort before in an MRI. it was the 'open' kind so not an old one.
the medical industry relies on volume, and rushing us through. nobody cared. I told my PCP (she works in the same hosp) about it and she said "i cant help you."
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I think a lot of it comes down to the technician. I've been fortunate that the technician I've had has always done her best to make sure I'm comfortable.
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2nd MRI biopsy today and I managed to position my arms to avoid the finger numbness I got last time, but oohhhh my shoulders.
I think part of it is just the unpleasant nature of the machine and the procedure. The position you think is comfortable when you start may not be 20 minutes later but there's no opportunity for trial and error because thanks to how the machine takes images, you can't move. Hopefully they will invent an imaging machine that is just as accurate but not as finicky in the future.
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My first submission to this community. I had a breast MRI a couple of days ago and it was torture. I'm 70 years old and lying face down with my arms hyperextended beside my head for 30 minutes, unable to move without invalidating the test, produced terrible discomfort in my shoulders. I toughed it out, but was unable to even put on my bra after I was done. Still have a lot of soreness in my shoulders that limits my range of motion. For me part of the issue is that the positioning was so unexpected. I've had MRIs in the past and was never forced into such an unnatural posture. Was so relieved when it was over, only to learn I now need an MRI-guided biopsy. Because of my complaint they say they will try it with my arms by my side. I'm unhappy because none of the providers involved in ordering this procedure alerted me on what to expect so that possibly some precautions - medication or more careful positioning - could have lessened the discomfort.
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The MRI and the stereotactic biopsy account for the worst 60 min I’ve ever experienced. I have told my doctors that I cannot handle 2 more face down procedure. By the time the MRI was done I could see in the little mirror under my face anymore from crying and my nose dripping on it. I also discovered my right arm was completely asleep when I tried to squeeze the panic button but couldn’t feel my hand.
For me the worst pain was actually the block that was between my breasts pressing into my sternum. This was my first MRI though so don’t have anything to compare it to. Both setups absolutely had to have been designed by a man!
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I had breast mri 5 days ago and am still suffering the after effects. The tech warned me about the the pressure on my breast bone, but the entire procedure was far worse than that. I thought the position was bearable at first, but as another who posted commented, what is ok at first may not continue to be so as the test continues. It was 45 minutes of pain to the lower rib cage area as well as the breast bone. I did not squeeze the bulb as I was not panicked but painful. I figured that if I soldiered on, I would be ok when it was done. I felt drained and shaky afterwards, but then the real pain hit later that day. My PCP ordered pain medication and ice packs, but the pain continued. I went to Urgent Care yesterday to make sure I did not have a rib fracture. Xrays showed no fractures, but some lung changes where I was not inflating adequately due to pain. MD said the ribs would continue to hurt for several weeks. I have to use a breathing monitor to increase lung inflation. Lesson learned: if it is painful, STOP the procedure until it is alleviated. The worst may show up after it is done.
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Wow, Spency, that's terrible. We appreciate you sharing your experience, and hope that your pain and lung changes reverse soon.
Keep us posted!
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Thank you to everyone who responded. It's been difficult to get any response from Northwestern Hospital regarding this awful experience. Clearly more could be done, and yes a lot comes down to the specific technician. I feel like if they really want us to be there he still doing the procedure that they should be responsive in the beginning. And I did not find them to be so. I'm really sorry to everybody who has had such painful experiences in this isolating and difficult procedure.
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These experiences are so important. I get so mad when this happens, I got a PTSD-like syndrome after my wire insertion. (I am NOT trying to compare our situations.).
I think one reason why they don't respond is because in order to give you something sedating IV like a benzodiazepine or narcotic is they would have to have an RN in attendance, which would be more costly.
What I should have done was to complain and walk out if they couldn't get my pain score below X. The wire insertion required a mammogram, and the next time I required a mammogram-guided biopsy, I instinctively pulled out of the mammogram machine _while my breast was compressed_. That hurt.
Painful procedures make it less likely that people will go and get them done. It gets me so angry when people have experiences like this.
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you hit the nail on the head. these actions are harmful not only in themselves but in how they perpetuate distrust of medicine. and the profit motive is absolutely the main one.
I'm sorry you were hurt too.
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